1 / 17

How to Give Advice to Patients Ambivalent t oward Change

Learn practical strategies for effectively communicating and giving advice to patients who are uncertain about making changes. Explore general challenges, practical suggestions, and a motivational strategy for information exchange.

twoodruff
Download Presentation

How to Give Advice to Patients Ambivalent t oward Change

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. How to Give Advice to Patients Ambivalent toward Change Michael A. Cucciare, PhD Psychologist, Women’s Mental Health Program University of Arkansas for Medical Sciences Text MCUCCIARE737 to 22333 join

  2. Today’s Goals • Discuss general challenges to effectively communicating with patients • Discuss practical suggestions for improving communication • Present a strategy for sharing information/giving advice to patients who are unsure about next steps

  3. What do we mean by ambivalence? • Having mixed feelings about a course of action • Assumption is that motivation in malleable

  4. General challenges to effectively communicating • Passivity • High emotion • Distraction “Some patients seem to hear, but others, I tell them time and again and it never seems to sink again” - anonymous

  5. Practical suggestions for improving information exchange • Slow down, and progress will be quicker • Consider the broader priorities of the patient • Positive messages matter

  6. A brief, motivational strategy for giving advice • Remember: If a patients asks for information/advice, go ahead and give it • If ambivalent, consider starting by asking permission (i.e., “knock on the door before you enter”) • Consider using Ask-Provide-Ask

  7. Ask-Provide-Ask • Understand what is most important for the patient to know from their perspective • What would you most like to know about________? • Create an opportunity to correct misconceptions or misinformation • What do you already know about_________?

  8. Ask-Provide-Ask Provide • Give advice/information in a manageable chunk • Ask permission • Would it be ok if I shared some information with you about _______? • Can talk about other patients’ experiences

  9. Ask-Provide-Ask • Check-in to see if the patient is getting what you say • Some possibilities include: • What are you thoughts/feelings about this? • What else would you like to know? • What questions do you have? • What do you think about this? • The focus is on not how much information you can get across but helping the patient make sense of the information and make good decisions about behavior

  10. What to take away • For patients who are “not ready”, advice/information giving is optimized when you: • Convey respect for their decision-making autonomy (e.g., ask permission) • Provide information that is personalized and focused (e.g., find out what they want to know) • Assess the impact of information or advice (e.g., check in to see what they think)

  11. Resources

  12. Thank you!

  13. Questions about the Topic Continuing Education Credit: TEXT: 501-406-0076 Event ID: 28506-24581

  14. Case Conference and Feedback Continuing Education Credit: TEXT: 501-406-0076 Event ID: 28506-24581

More Related